NPI | 1205819315 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATH BROUWER Administrator 605-724-2159 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10526) |
Enumeration Date | 2005-11-22 |
Last Update Date | 2011-12-06 |